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On Ayurvedic assessment, the patient exhibited madhyama bala (moderate physical strength), pitta-predominant Vataja ni (Pitta-Kapha Prakruti), pu vara mutra (pale-colored urine), mala saga (constipation), and malvta jihv (coated tongue)

The reliance on case-control studies, which can be susceptible to recall bias, and the inclusion of only a small number of studies mean that further research is necessary to confirm these findings and explore the underlying mechanisms

Some side effects such as nausea and vomiting, stomatitis, and diarrhoea were more common in the combination pemetrexed group but only affected a minority of patients and overall the combination of pemetrexed and cisplatin was well tolerated when patients received vitamin supplementation

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